US Core Implementation Guide
3.2.0 - ballot

This page is part of the US Core (v3.2.0: STU4 Ballot 1) based on FHIR R4. The current version which supercedes this version is 5.0.1. For a full list of available versions, see the Directory of published versions

: Imm 1 Example - XML Representation

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<Immunization xmlns="http://hl7.org/fhir">
  <id value="imm-1"/>
  <meta>
    <extension url="http://hl7.org/fhir/StructureDefinition/instance-name">
      <valueString value="Imm 1 Example"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/instance-description">
      <valueMarkdown
                     value="This is a imm 1 example for the *US Core Immunization Profile*."/>
    </extension>
    <profile
             value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>status</b>: completed</p><p><b>vaccineCode</b>: <span title="Codes: {http://hl7.org/fhir/sid/cvx 158}, {http://hl7.org/fhir/sid/ndc 49281-0633-15}">influenza, injectable, quadrivalent, contains preservative</span></p><p><b>patient</b>: <a href="Patient-example.html">Amy Shaw. Generated Summary: Medical Record Number: 1032702 (USUAL); active; Amy V. Shaw , Amy V. Baxter ; Phone: 555-555-5555, amy.shaw@example.com; gender: female; birthDate: 1987-02-20</a></p><p><b>occurrence</b>: Nov 19, 2020 8:46:57 PM</p><p><b>primarySource</b>: false</p></div>
  </text>
  <status value="completed"/>
  <vaccineCode>
    <coding>
      <system value="http://hl7.org/fhir/sid/cvx"/>
      <code value="158"/>
      <display
               value="influenza, injectable, quadrivalent, contains preservative"/>
    </coding>
    <coding>
      <system value="http://hl7.org/fhir/sid/ndc"/>
      <code value="49281-0633-15"/>
      <display value="FLUZONE QUADRIVALENT (Sanofi Pasteur Inc.)"/>
    </coding>
  </vaccineCode>
  <patient>
    <reference value="Patient/example"/>
    <display value="Amy Shaw"/>
  </patient>
  <occurrenceDateTime value="2020-11-19T12:46:57-08:00"/>
  <primarySource value="false"/>
</Immunization>